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APPLICATIO� FOR CONSTRUCT�N PEPiMIT <br /> CIN OF EVERE�T•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING C SIGN <br /> PROJECT ADDRESS� /03 \ <br /> �{6l?.A_�CbL�� �_�.t� ze6+t) ��i�� 'J )a7S7-��� <br /> Fn uul/.WnEss Ciry im v�.i — <br /> iCN�NI 4�11MIC'1(55 bl� IIV VIH,'VE <br /> •IICNIifCI0�1nfS�G�lCnf1 M1111AM1��55 CI�Y lll' �IqNf <br /> ,• � <br /> � I � (_Oi.1�u�'inA..� //�i�'.�$O �/a4`t7L �Q���. �nL�L,4..1 lLCc.� <br /> cr�a ar�m�r.�rn v�¢�ppness cnr nr r�qvc c��¢�¢n.�c� <br /> �IfpPNiULcoMlMtlan M9l��pnE55 f.�tt )�r n�bNr 54rFl�t[MSE. � <br /> I'1111ABh�GCON1Rl/:I011 M�I�ACqIF55 CIIY IIP PHCNF SIA�EIICEN$!� <br /> cw�mC rn¢E or vmnx <br /> OG HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> p(5�n �NOSOu [i00� VIX�Eo cM�tr rnSON�W:r .up �C.�j.' <br /> �� <br /> ��� <br /> ���/ � ���j I NEflEDY CERTIFY THAT I HAVE PEAD ANO E%AMINED TNIS <br /> L APPLICATION AND NNOW TNE SAME TO BE TRUE ANO WHpECT ALL <br /> nudrosfous[or emm��m pqOVI510NS OP LAWS ANO ORDINANCES GOVERNING THIS TYoE OF <br /> WORK WILL BE COMPUe�WITH WHETHER SPECIFIED HEREIN Oq <br /> tcc�totr..nirup1or�rqr[nrv!srwwxauowonenecr�rwotomcs� NOi. TME GRANTING OF A CERM17 DOES NOT PRESUME TO GIVE <br /> tm eiocs or AUTHORITV TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY <br /> OTMER STA7E OR LOCAL LAW RE^uVLATING CONSTRUCTION OR TNE <br /> PEHFORMANCE OF CO45TRUCTION.TMAT I AM AUTHORIZED BV TME <br /> OWNER OF THIS PROPERTY TO PF.RFqRM iHE WORN FOR WMICM <br /> APPLICATION IS MAOE AND I COMPLY WITH TNE STATE <br /> rn�rt uv i o M�uscn CONTqACTORS LAW 1B 27 RCW ANO 296.200 WAC. <br /> �"'S DOO O/D �/DO 7 <br /> CONGi1111C11[N1101NICNbfq.NHN1C$S.IElLA10MEINYPfP z11 ��yy�Q� 1� �3�T <br /> x�-�n ` <br /> vcu�m�e n.rt <br /> OLY IW 9NESS lqENSC NO <br /> PLUMBING MECHIINICIIL <br /> NO. TYPE OF Fl7(TVPE OR ITEM FEE NO. iVPE JF EOUIPMENT FEE <br /> WATER CLOSET QOILET) A/C—AMNDLG UNRS <br /> BATHTUB FORCED AiH SYSTEMS <br /> IAVATORY(WASM BASIN) HEAT PUMP <br /> SHOWER UNIT HEATEPS <br /> KITCHEN SINK 8 DISP CLOTHES DRVERS <br /> DISNWASHEF RANGE HOOD <br /> LAUNURV TRAY WATER HEATER <br /> CLOTMES WASHER YlOOD STOVE <br /> UqINAL METAL FIREPIACE QY00�BURNING) <br /> DRINKING FOIINTAIN FIRLPLACE INSERT(Yf00D BURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> DACKFLOW PREVENTERS GAS RANCaE <br /> SINK(SERVICE—�AR.ETC.) GAS PIPINCa <br /> E%HAUSTFAN i <br /> SUB iOTAI f SU�TOTPL E <br /> � PERAtIf E PERMIT S <br /> TGTALFEE 5 TOTALFEE 5 <br /> FOF OFFICE USE ONLY: <br /> �nouisrtn�ca r.eensne.cK smtsc�a�c. ruuartc.Huexrn rrr nrcnr�Ho <br /> S�� <br /> usrtoxr' �oien¢e vice•us�rE FECS VAUTATION FEE <br /> ❑rFs ❑� �— <br /> RINIDiryf. �� � (�� <br /> uflG���Pv'i�l�Ov NOOrUw[IONG SIIEM6lIX19t — <br /> IIM1�IG p111VRIYfi <br /> CCI;ITI.4�I;Y It��tl:�rtFS GC.LIIIMNI�U�I� B�SlMENI MFf.11�NN'II <br /> m�our <br /> ❑r[s O mn - -- --- <br /> �mesrn:Nxunneo'n-- nresn. eopnowin�vurte. <br /> OII�F� <br /> IifiLPIAIIMP[0� �I�i()V ' <br /> _ fl11fP11:111iNC51111C11�11CC L 'S, <br /> nrvorro��n rinvs�rrapvmor CRYOFEVEflETT ruxncwnnKs <br /> LOCAL SALES -�-- <br /> ��,,,E TA%CODE153105 TOTAL r;� 10n <br />